Lee Theophelis, MD
NPI 1861448318 · Plastic and Reconstructive Surgery Physician · Melbourne, FL
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lee Theophelis, MD is a Plastic and Reconstructive Surgery Physician provider in Melbourne, FL (NPI 1861448318).
Provider details
- NPI number
- 1861448318
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME59792 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
260 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $87 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 54 | $55 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 37 | $107 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 37 | $49 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 22 | $164 |
| Removal of Cancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 48 | 40 |
| Doxycycline Hyclate | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 1223 Gateway Dr Ste 2bMelbourne, FL 32901-2607Phone: (321) 434-1401
- 1350 Hickory St Ste 101Melbourne, FL 32901-3224Phone: (321) 434-1401Fax: (321) 434-1667
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2023-11-03
- Certified
- 2023-11-03
Frequently asked questions
- What is Lee Theophelis's NPI number?
- Lee Theophelis's National Provider Identifier (NPI) is 1861448318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lee Theophelis's specialty?
- Lee Theophelis is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lee Theophelis located?
- Lee Theophelis's practice location on file with NPPES is 1350 Hickory St, Melbourne, FL 32901-3224.
- What is Lee Theophelis's phone number?
- The practice phone number listed in the NPPES registry for Lee Theophelis is (321) 434-1401.
- Does Lee Theophelis accept Medicare?
- Lee Theophelis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lee Theophelis's NPI active?
- Yes — Lee Theophelis's NPI (1861448318) is active in the NPPES registry as of the last update on 2023-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.